<center>
<BR>
<table>
	<tr>
		<td style="text-align:left;vertical-align:top;">
			<table id="SCTV_Filters" cellpadding="0" style="width:250px; border-spacing: 3px;">
				<tr>
					<td style="width:13%;">{$form_requirement_code.label}: <strong id="form_requirement_code"/></td>				
				</tr>
				<tr>
					<td style="width:13%;">{$form_customer_name.label}: <strong id="form_customer_name"/></td>				
				</tr>
				<tr>
					<td style="width:13%;">{$form_street.label}: <strong id="form_street"/></td>
				</tr>
				<tr>
					<td style="width:13%;">{$form_phone.label}: <strong id="form_phone"/></td>					
				</tr>
				<tr>
					<td style="width:13%;">{$form_cable_status.label}: <strong id="form_cable_staus"/></td>
				</tr>
				<tr>
					<td style="width:13%;">HD: <strong id="form_hd"/></td>
				</tr>
				<tr>
					<td style="width:13%;">SD: <strong id="form_sd"/></td>
				</tr>
				<tr>
					<td style="width:13%;">{$form_internetpackage.label}: <strong id="form_internetpackage"/></td>
				</tr>
				<tr>
					<td style="width:13%;">{$form_bundle.label}: <strong id="form_bundle"/></td>
				</tr>
			</table>
		</td>
		<td>
			{$form_open}
			<table id="SCTV_Filters" cellpadding="0" style="width:550px; border-spacing: 3px;">
				<tr>
				<td class="epesi_label" style="width:13%;">
					{$form_status.label}
				</td>
				<td class="epesi_data" style="width:53%;">
					{$form_status.html}
				</td>				
				</tr>
			</table>
			<table id="SCTV_Other" cellpadding="0" style="width:550px; border-spacing: 3px;display:none">
			<tr>
				<td class="epesi_label" style="width:13%;">
					{$form_report_employee.label}
				</td>
				<td colspan="3" class="epesi_data" style="width:53%;">
					<div style="position:relative;">
					{$report_employee_required_error}
					{$form_report_employee.html}
					</div>
				</td>
			</tr>
			</table>
			<table id="SCTV_delivery_date" cellpadding="0" style="width:550px; border-spacing: 3px;display:none">
			<tr>
				<td class="epesi_label" style="width:13%;">
					{$form_delivery_date.label}
				</td>
				<td colspan="3" class="epesi_data" style="width:53%;">
					<div style="position:relative;">
					{$form_delivery_date.html}
					</div>
				</td>
			</tr>
			</table>
			<table id="SCTV_Completed" cellpadding="0" style="width:550px; border-spacing: 3px;display:none">
			<tr>				
				<td class="epesi_label" style="width:13%;">
					{$form_deploymentemployee.label}
				</td>
				<td colspan="3" class="epesi_data" style="width:53%;">
					<div style="position:relative;">
					{$deploymentemployee_required_error}
					{$form_deploymentemployee.html}
					</div>
				</td>				
			</tr>
			<tr>				
				<td class="epesi_label" style="width:13%;">
					{$form_deploymentdate.label}
				</td>
				<td class="epesi_data" style="width:20%;">					
					<div style="position:relative;">
					{$deploymentdate_required_error}
					{$form_deploymentdate.html}
					</div>
				</td>				
				<td class="epesi_label" style="width:13%;">
					{$form_deploymenttime.label}
				</td>
				<td class="epesi_data" style="width:20%;">
					{$form_deploymenttime.html}
				</td>						
			</tr>
			<tr>				
				<td class="epesi_label" style="width:13%;">
					{$form_acceptancedate.label}
				</td>
				<td class="epesi_data" style="width:20%;">					
					<div style="position:relative;">
					{$acceptancedate_invalid_error}
					{$form_acceptancedate.html}
					</div>
				</td>				
				<td class="epesi_label" style="width:13%;">
					{$form_deployment_cable_status.label}
				</td>
				<td class="epesi_data" style="width:20%;">
					{$form_deployment_cable_status.html}
				</td>						
			</tr>
			<tr>				
				<td class="epesi_label" style="width:13%;">
					{$form_deploymenthd.label}
				</td>
				<td class="epesi_data" style="width:20%;">
					<div style="position:relative;">
					{$deploymenthd_invalid_error}
					{$form_deploymenthd.html}
					</div>
				</td>
				<td class="epesi_label" style="width:13%;">
					{$form_deploymentsd.label}
				</td>
				<td class="epesi_data" style="width:20%;">
					<div style="position:relative;">
					{$deploymentsd_invalid_error}
					{$form_deploymentsd.html}
					</div>
				</td>										
			</tr>
			<tr>							
				<td class="epesi_label" style="width:13%;">
					{$form_deploymentinternetpackage.label}
				</td>
				<td class="epesi_data" style="width:20%;">
					{$form_deploymentinternetpackage.html}
				</td>
				<td class="epesi_label" style="width:13%;">
					{$form_deploymentbundle.label}
				</td>
				<td class="epesi_data" style="width:20%;">
					<div style="position:relative;">
					{$deploymentbundle_required_error}
					{$form_deploymentbundle.html}
					</div>
				</td>																			
			</tr>
			<tr>							
				<td class="epesi_label" style="width:13%;">
					{$form_deployment_business.label}
				</td>
				<td class="epesi_data" style="width:87%;" colspan="3">
					{$form_deployment_business.html}
				</td>												
			</tr>
			<tr>							
				<td class="epesi_label" style="width:13%;">
					{$form_deploymentcablecontractcode.label}
				</td>
				<td class="epesi_data" style="width:20%;">
					<div style="position:relative;">
					{$cablecontractcode_required_error}
					{$form_deploymentcablecontractcode.html}
					</div>
				</td>				
				<td class="epesi_label" style="width:13%;">
					{$form_deploymentinternetcontractcode.label}
				</td>
				<td class="epesi_data" style="width:20%;">
					<div style="position:relative;">
					{$deploymentinternetcontractcode_required_error}
					{$form_deploymentinternetcontractcode.html}					
					</div>
				</td>											
			</tr>
			<tr>											
				<td class="epesi_label" style="width:13%;">
					{$form_deploymenttapcode.label}
				</td>
				<td class="epesi_data" style="width:37%;">
					{$form_deploymenttapcode.html}
				</td>				
				<td class="epesi_label" style="width:13%;">
					{$form_lend_wifi.label}
				</td>
				<td class="epesi_data" style="width:37%;">
					{$form_lend_wifi.html}
				</td>							
			</tr>
			<tr>
				<td class="epesi_label" style="width:13%;">
					{$form_secondary_counselor.label}
				</td>
				<td colspan="3" class="epesi_data" style="width:53%;">
					<div style="position:relative;">
					{$deploymentemployee_required_error}
					{$form_secondary_counselor.html}
					</div>
				</td>
			</tr>
			<tr>
				<td class="epesi_label" style="width:13%;">
					{$form_secondary_hd.label}
				</td>
				<td class="epesi_data" style="width:20%;">
					{$form_secondary_hd.html}					
				</td>							
				<td class="epesi_label" style="width:13%;">
					{$form_secondary_sd.label}
				</td>
				<td class="epesi_data" style="width:20%;">
					{$form_secondary_sd.html}
				</td>								
			</tr>
			<tr>										
				<td class="epesi_label" style="width:13%;">
					{$form_secondary_internetpackage.label}
				</td>
				<td class="epesi_data" style="width:20%;">
					{$form_secondary_internetpackage.html}
				</td>
				<td class="epesi_label" style="width:13%;">
				</td>
				<td class="epesi_data" style="width:20%;">			
				</td>
			</tr>
	</table>
       
	<table cellspacing="0" cellpadding="0" style="width:550px; border-spacing: 3px;">
		<tr>
			<td class="epesi_label" style="width:13%;">
				{$form_note.label}
			</td>
			<td class="epesi_data" style="width:53%;">
				{$form_note.html}
			</td>
		</tr>	
		<tr>
			<td valign="top">
				{$just_close.open}
				<div class="epesi_big_button">
					<img src="{$theme_dir}/Base/ActionBar/icons/save.png" alt="" align="middle" border="0" width="32" height="16">
					<span>{$just_close.text}</span>
				</div>
				{$just_close.close}
			</td>
			<td>
			</td>
		</tr>
	</table>
	{$form_close}
		</td>
	</tr>
</table>
</center>
